PS expression is altered in human DN. Immunostaining for PS was performed on healthy donor nephrectomy specimens and on kidney biopsy samples of patients with diabetes with microalbuminuria (UACR<300 mg/g) and with macroalbuminuria (UACR>300 mg/g). (A) Representative images of six subjects in each group are shown (400× original magnification; scale bar, 50 μm). (B) Glomerular area was selected, and OD was measured and quantified as a relative fold change to healthy donor specimens (n=6; *P<0.05 and ***P<0.001 when compared between indicated groups). (C) Representative images of diabetic human kidneys immunostained for both PS and synaptopodin (×400 original magnification). DAPI was used to visualize the nuclear staining. AU, arbitrary units; DAPI, 4′,6-diamidino-2-phenylindole; DM, diabetes mellitus; Macro, macroalbuminuria; Micro, microalbuminuria; PS, protein S; UACR, urinary albumin-to-creatinine ratio.